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General NPI Number Information
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NPI Number | 1295263820
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Entity Type | Organization
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Legal Business Name | KILMARNOCK ORTHOPAEDICS, INC.
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 95 HARRIS RD BLDG 4
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City | KILMARNOCK
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State | VA
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Zip | 22482-3845
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Country | US
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Telephone | 540-960-1000
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Fax | 540-960-1000
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Provider Business Mailing Address
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Address Line | 141 WHALEY WAY
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City | WHITE STONE
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State | VA
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Zip | 22578-2029
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Country | US
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Telephone | 540-960-1000
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Fax |
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Authorized Official
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Title or Position | CEO/PRES
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Name | JAMES AUSTIN MCCOIG
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Credential | MD
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Telephone | 540-960-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | VA
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